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Contact Information

KIMBERLY HOLLOWAY
120 WEATHERED OAK CT
SAINT JOHNS, FL32259-7265
 Phone: 904-347-8530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lactation Consultant

163WL0100X
Indicates primary specialty

NPI Profile & details for KIMBERLY HOLLOWAY · (Female)

NPI # 1770434508
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2026
Last updated 02/06/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # L-103567
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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